Diet with duodenitis

With gastrointestinal dysfunction, special attention should be paid to the diet. In inflammatory pathologies of the stomach and intestines, medications are not always prescribed, but in any case a diet is recommended.

Often the disease of one digestive organ affects the other organs of the digestive tract, for example, duodenitis can provoke gastritis or ulcers, and vice versa. To prevent the development of complications, it is necessary to begin therapy immediately after the onset of the first symptoms of the disease. What exactly is the diet prescribed for duodenitis, will depend on the causes of the pathology, its stage and severity.

The purpose of the diet for duodenitis

The cause of exacerbation of duodenitis can be the use of excessively spicy food, alcohol, mucous injury by a foreign object, food poisoning. In the inflammatory process in the duodenal mucosa, it is important that the organ is not subjected to chemical irritation, so it is necessary to adhere to the therapeutic diet and eliminate the underlying cause( abandon alcohol, destroy the infection).

Chronic acute and primary duodenitis develops against the background of a decrease in the protective factor of the intestine as a result of damage to the mucosa of the duodenum with gastric juice, in which the content of hydrochloric acid is increased. The diet in this case is selected in such a way that the food does not provoke excessive production of acid, do not exert an irritating effect on the inflamed mucosa.

Secondary duodenitis develops, since the contents of the stomach remain in the duodenum longer than the intended one, due to the fact that it can not be quickly digested due to the lack of digestive juices( for example, in pancreatitis, cholecystitis).The diet for chronic duodenitis is designed to promote bile secretion, to strengthen the motor system of the digestive tract.

Patients with duodenitis are concerned about spastic pain in the hypochondrium to the right, which are more intense on an empty stomach or at night, belching, nausea, heartburn, vomiting, stool( constipation or diarrhea).With the help of dietary nutrition can reduce the severity of these symptoms.

So that the stomach does not accumulate hydrochloric acid, it is recommended to eat often, every 3-4 hours, but in small portions. This can reduce the production of acid and bile, aggressively affecting the inflamed tissue of the duodenum. In order not to appear nausea, vomiting, belching should be excluded from food, which is long digested( fatty, fried).

Principles of dietary nutrition

With primary duodenitis, dietotherapy is similar to that prescribed for gastritis. And the diet will depend on the stage of the pathology and the pH of the gastric juice. If the production of hydrochloric acid is increased, then the diet No1A or diet No1B is prescribed, and if the symptoms of the disease disappear, the patient is transferred to the diet table No1.

If secretory deficiency is revealed, then the diet No2 is shown, which is different in that it includes products that increase the production of gastric juice

. Therapeutic nutrition No1A provides complete shaking of the mucosa of the digestive tract and is advised in case of exacerbation of pathology, as well as in erosive duodenitis with intestinal bleeding. With the help of this diet, it is possible to reduce the reflex excitability of the gastric receptors and to attenuate the inflammatory process.

Nutrition with the diet No1A does not fill the physiological need, therefore it is prescribed for a short time( 5-14 days).The diet is low-calorie( 2000 kcal), fat( up to 100 g) and proteins( up to 80 g) are reduced, and carbohydrates( up to 200 g) and salt( up to 8 g) are cut.

The diet for chronic duodenitis requires compliance with the following rules:

• all food is served liquid. Can be given porridge, mucous soups, mashed potatoes. Such a consistency does not irritate the mucous tissue mechanically;
• is all cooked or steamed;
• it is impossible to eat broths, as they excite secretion, which negatively affects the mucosa;
• removes all hard-to-digest products from the diet( eg legumes, mushrooms, meat with skin and inclusions);
• food temperature should be within 15-55 ° C.Cold food prevents the restoration of tissue, and hot food is irritating, so you need to ensure its thermal shchazhenie;
• power should be six-time and with the same time interval between meals.

Diet table No1А

Diet No1A allows you to have:

• mucous soups are cereal( oatmeal, rice, semolina).Add oil if desired;
• steam cutlets, pâtés, soufflé from dietary meat, missed three times through a meat grinder;
• milk, cottage cheese, cream( banned sour cream, sour-milk products);
• eggs soft-boiled;
• steam omelet;
• liquid cereal( except for pearl and millet).You can eat them with milk;
• sweet jelly, fruit jelly, fruit juices with water, fruit homogenized sweet mashed potatoes;
• not strong tea, broth of a dogrose.

Dietary table No1B

After the signs of the disease have died away, a diet No1B is prescribed, which differs from the previous one in that it allows a greater chemical and physical effect on the digestive tract. It also increases the calorie content of the daily diet( up to 2500 kcal) and the fat and protein content to 100 grams, and carbohydrates to 300 grams. Adhere to this diet needs 10-30 days. You can eat soups and mashed potatoes. Meat and fish cutlets, mashed potatoes are allowed. The consistency of the dish is not liquid, but mushy.

Dietary table No1

After the diet No1B, the patient can adhere to the diet No1( main).It promotes moderate shaking of the mucosa and is physiologically complete, so it can be followed for a long time( usually appointed for 3-6 months).You can go to the phase of recovery.

Treatment table No1 reduces the allowable amount of salt to 10-12 grams, and provides for protein and fat content of 100 grams, and up to 450 grams of carbohydrates. For a day no more than 3500 kcal. With diet No1, the following recommendations should be adhered to:

• to exclude dishes that irritate in any way mucous, stimulate the secretion of acid and trypsin, or are difficult to digest( broths, sauces, canned food, pickles, marinades, turnips, radishes, beans, radishes, fruit peels,acid varieties of grapes, gooseberries, dates, currants, chicken skin and veined meat, stews, wholemeal, spices);
• cook everything for a couple, cook or bake without forming a crusty brown. Food should be mushy, it is allowed to eat boiled meat in pieces if it is very soft;
• it is necessary to continue to adhere to 4-6 single meals( eat every 4 hours in small portions).

Diet No1 allows for a presence in the ration:

• crackers, dried bread;
• vegetable soups with cream, butter( broths are excluded);
• dishes from dietary meat( cutlets, meatballs, meatballs, pate).Meat is allowed to eat slices, if it is soft;
• of lean fish cooked without skin;
• milk, cream, cottage cheese, curdled milk, kefir;
• buckwheat, semolina, rice, oatmeal;
• hard-boiled eggs or steam omelet;
• of potatoes, carrots, beets, cauliflower;
• weak tea with milk, sweet juices, compotes, fruit sweet mashed potatoes, jelly.

Vegetables are boiled, served as mashed potatoes, soufflé

List of prohibited or restricted meals and foods with duodenitis:

• broths( fish, meat, mushroom);
• fatty meat and fish;
• pickled and salted vegetables;
• beans, cabbage, cucumbers, tomatoes, radish;
• canned food and sausages;
• pastry made of puff or yeast dough;
• dishes with a lot of seasoning;
• pasta;Fast food and semi-finished products;
• ice cream, cakes, chocolate, sweets;
• is barley, millet, pearl barley.

After the No1 diet, the patient switches to normal meals, but you need to remove smoked, fatty and spicy dishes, pickles from the menu. To avoid increased gas production, which contributes to the maintenance of the inflammatory process, it is necessary to reduce fermentation and putrefaction in the digestive tract, namely to reduce the amount of incoming fiber and carbohydrates.

What other diets can be prescribed

Duodenitis is rarely found as an independent disease, more often it is a complication of hyperacid erosive gastritis, pancreatitis or cholecystitis. Diet No5 is prescribed for the restoration of the liver and bile ducts, mechanical shaking of the digestive tract. In the recommended diet is allowed 100 g of fats and proteins, 450 g of carbohydrates, energy value up to 3100 kcal. All dishes are cooked, cooked for a couple or baked.

For diseases of the intestine, diet No4 can be prescribed. It is provided by mechanical and chemical shaking of the intestine and reduces the severity of fermentation and putrefaction in it, which is necessary if there is diarrhea and dyspeptic disorders. In the diet, the amount of carbohydrates is reduced to 250 grams, fats to 70 grams and proteins to 90 grams, no more than 2000 kcal is consumed per day. It is absolutely necessary to exclude milk, fiber, pickles, and smoked products.

In diseases of the stomach, liver, biliary tract, pancreas and against their background of inflammation of the intestine, a diet No4B is shown, which reduces the severity of the inflammatory process. The diet is limited to 120 g of proteins and fats and 500 g of carbohydrates, 3600 kcal. What kind of diet is required for a specific patient, the doctor will determine, based on the patient's history, the degree of inflammation of the duodenal ulcer, the tolerability of the products.

Approximate diet menu for duodenitis

The list of allowed and prohibited foods is approximately the same, diets differ by the ratio of nutrients and energy value. The nutritionist will help to develop an approximate menu for a week, and also tell you what you can eat every day, and what products are better restricted. With duodenitis adhering to dietary nutrition can be seen after 10 days of improvement.

The diet needs to be observed for half a year, so that the mucosa can fully recover, if this is not done, then, probably, the aggravation of the inflammatory process may occur, internal bleeding may occur, and complications may develop.

It is necessary to introduce "new dishes" into the diet after a diet carefully so as not to provoke a relapse. Lastly, vegetables with coarse fiber, sour fruits are added to the menu. From fatty, sharp and indigestible dishes it is desirable to completely refuse, as well as from alcohol and smoking.